Commercial Business Insurance Questionnaire Web Site Applicant's Legal Business Name Applicant's Name Street Address Street Address Line 2 City State Postal / Zip Code County Email Phone Operating as (describe business operations in detail: services offered, type of industry, etc.) Building Details (please include building age, total square footage of building, construction type, and type of roof) Is the building Tenant occupied Owner occupied What are the annual gross sales? Any U.S. sales? If yes, what % of total sales. Previous Insurance and Previous Claims or Losses Replacement values of Office Equipment/Furniture and Leasehold Equipment Replacement Values of Computer Hardware and Laptop Computers
